Resources for Healthcare Providers

Tobacco Free Nebraska
Public Health
This page lists all the resources for healthcare providers to help tobacco consumers quit tobacco.

What would you like to do?

What you need to know

Quitline Healthcare Provider Portal
Quitline Healthcare
Provider Portal

As a healthcare provider, you are a trusted source of information. You can play an important role in helping your patients quit tobacco by connecting them with the tools they need. Below are some resources we hope can help you.


Quitline Fax Referral Form - The Fax Referral Form was updated on 1/1/2021. Please make sure you use the correct form when referring patients.

Quitline Fax Referral Instructions

Free NRT Flier / Spanish

Nebraska Tobacco Quitline Order Form

Medicaid MCO's - Cessation Benefits and Coding Reference

Coverage of Tobacco Cessation Update - Nebraska Medicaid Provider Bulletin No. 10-48 (dated September 14, 2010) supersedes previous tobacco cessation provider bulletins.

Tobacco Cessation Program Application

Rx for Change - A program designed to enhance the tobacco cessation education of health professionals. It is a comprehensive program for training students and licensed clinicians in virtually any health professional field.

American Academy of Pediatrics' E-cigarette and Vaping Curriculum - A series of presentations focused on addressing youth e-cigarette prevention and cassation based on current evidence and best practices.  


 Tobacco Free Nebraska
Department of Health & Human Services
Phone Number
(402) 471-2101
Toll Free Number
(800) QUIT-NOW (784-8669)
Fax Number
(402) 471-6446
Mailing Address
P.O. Box 95026, Lincoln, Nebraska 68509-5026